Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

Djamila L. Ghafuri; Shehu U. Abdullahi; Abdu H. Dambatta; Jamil Galadanci; Musa A. Tabari; Halima Bello-Manga; Nura Idris; Hauwa Inuwa; Aliyu Tijjani; Aisha A. Suleiman; Binta W. Jibir; Safiya Gambo; Awwal I. Gambo; Yusuf Khalifa; Lawal Haliru; Sani Abdulrasheed; Mohammed A. Zakari; Brittany C. Greene; Edwin Trevathan; Lori C. Jordan; Muktar H. Aliyu; Ana A. Baumann; Michael R. DeBaun

doi:10.1097/MPH.0000000000002179

Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

Djamila L. Ghafuri
, Shehu U. Abdullahi
, Abdu H. Dambatta
, Jamil Galadanci
, Musa A. Tabari
, Halima Bello-Manga
, Nura Idris
, Hauwa Inuwa
, Aliyu Tijjani
, Aisha A. Suleiman
, Binta W. Jibir
, Safiya Gambo
, Awwal I. Gambo
, Yusuf Khalifa
, Lawal Haliru
, Sani Abdulrasheed
, Mohammed A. Zakari
, Brittany C. Greene
, Edwin Trevathan
, Lori C. Jordan

Muktar H. Aliyu, Ana A. Baumann, Michael R. DeBaun

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.

Original language	English
Pages (from-to)	E56-E61
Journal	Journal of Pediatric Hematology/Oncology
Volume	44
Issue number	1
DOIs	https://doi.org/10.1097/MPH.0000000000002179
State	Published - Jan 1 2022

Keywords

Low-resource setting
Nigeria
RE-AIM
Sickle cell
Stroke prevention

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Ghafuri, D. L., Abdullahi, S. U., Dambatta, A. H., Galadanci, J., Tabari, M. A., Bello-Manga, H., Idris, N., Inuwa, H., Tijjani, A., Suleiman, A. A., Jibir, B. W., Gambo, S., Gambo, A. I., Khalifa, Y., Haliru, L., Abdulrasheed, S., Zakari, M. A., Greene, B. C., Trevathan, E., ... DeBaun, M. R. (2022). Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework. Journal of Pediatric Hematology/Oncology, 44(1), E56-E61. https://doi.org/10.1097/MPH.0000000000002179

@article{a48bc646c8b548e1a01ab252de3a6a95,

title = "Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework",

abstract = "We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7\% (4710/32,000) of which 6.0\% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100\%, demonstrating the program's feasibility and short-term sustainability.",

keywords = "Low-resource setting, Nigeria, RE-AIM, Sickle cell, Stroke prevention",

author = "Ghafuri, \{Djamila L.\} and Abdullahi, \{Shehu U.\} and Dambatta, \{Abdu H.\} and Jamil Galadanci and Tabari, \{Musa A.\} and Halima Bello-Manga and Nura Idris and Hauwa Inuwa and Aliyu Tijjani and Suleiman, \{Aisha A.\} and Jibir, \{Binta W.\} and Safiya Gambo and Gambo, \{Awwal I.\} and Yusuf Khalifa and Lawal Haliru and Sani Abdulrasheed and Zakari, \{Mohammed A.\} and Greene, \{Brittany C.\} and Edwin Trevathan and Jordan, \{Lori C.\} and Aliyu, \{Muktar H.\} and Baumann, \{Ana A.\} and DeBaun, \{Michael R.\}",

note = "Publisher Copyright: Copyright {\textcopyright} 2021 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY)",

year = "2022",

month = jan,

day = "1",

doi = "10.1097/MPH.0000000000002179",

language = "English",

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Ghafuri, DL, Abdullahi, SU, Dambatta, AH, Galadanci, J, Tabari, MA, Bello-Manga, H, Idris, N, Inuwa, H, Tijjani, A, Suleiman, AA, Jibir, BW, Gambo, S, Gambo, AI, Khalifa, Y, Haliru, L, Abdulrasheed, S, Zakari, MA, Greene, BC, Trevathan, E, Jordan, LC, Aliyu, MH, Baumann, AA & DeBaun, MR 2022, 'Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework', Journal of Pediatric Hematology/Oncology, vol. 44, no. 1, pp. E56-E61. https://doi.org/10.1097/MPH.0000000000002179

TY - JOUR

T1 - Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible

T2 - Program Evaluation Using the RE-AIM Framework

AU - Ghafuri, Djamila L.

AU - Abdullahi, Shehu U.

AU - Dambatta, Abdu H.

AU - Galadanci, Jamil

AU - Tabari, Musa A.

AU - Bello-Manga, Halima

AU - Idris, Nura

AU - Inuwa, Hauwa

AU - Tijjani, Aliyu

AU - Suleiman, Aisha A.

AU - Jibir, Binta W.

AU - Gambo, Safiya

AU - Gambo, Awwal I.

AU - Khalifa, Yusuf

AU - Haliru, Lawal

AU - Abdulrasheed, Sani

AU - Zakari, Mohammed A.

AU - Greene, Brittany C.

AU - Trevathan, Edwin

AU - Jordan, Lori C.

AU - Aliyu, Muktar H.

AU - Baumann, Ana A.

AU - DeBaun, Michael R.

PY - 2022/1/1

Y1 - 2022/1/1

N2 - We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.

AB - We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.

KW - Low-resource setting

KW - Nigeria

KW - RE-AIM

KW - Sickle cell

KW - Stroke prevention

UR - https://www.scopus.com/pages/publications/85122810958

U2 - 10.1097/MPH.0000000000002179

DO - 10.1097/MPH.0000000000002179

M3 - Article

C2 - 34001783

AN - SCOPUS:85122810958

SN - 1077-4114

VL - 44

SP - E56-E61

JO - Journal of Pediatric Hematology/Oncology

JF - Journal of Pediatric Hematology/Oncology

IS - 1

ER -

Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

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Keywords

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